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Individual

THOMAS J RAFOTH

Active
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Individual

THOMAS J RAFOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00016501
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00016501
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300021286
RR MEDICARE TRA
WA
01
40716
LABOR AND INDUSTRIES/WC TRA
WA
01
7252RA
REGENCE BLUE SHIELD UNION AVENUE OPEN
WA
05
8210700
WA
01
AB36528
MEDICARE PIN TRA KING COUNTY
WA
01
RA4184
REGENCE BLUE SHIELD TRA
WA
Enumeration date
11/17/2006
Last updated
01/27/2010
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